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<br />APPLICATION FOR A HISTORIC DISTRICT <br />"CERTIFICATE OF APPROPRIATENESS" <br /> <br />By staff: Application #. <br /> <br />COntributi,;gG~/ No Date Submitted: <br /> <br />(Applicant. Please provide infonnation between the double lines) <br />t: --';'I , 'trIA. ~ 7' //;/ % <br />" Property Address or Location: ...:,),..... 0 tt~ :::> l. c - 11/1/.s, ~ j!9. <br /> <br />Owner's Name:~.os,.~'~,.e...(\ Z'hrb$};t! {U;,cL. Phone: '?5/..:: - 71 'I-!. S .7,2- <br /> <br />Applicanfs Name & Company (if different): <br />Applicant's Mailing Address: '7 (J . R n ~ I if 3 t. <br />App. Contact Info: Phone: 'SI S' lH- 2~ /721 Fax: <br /> <br />z ./i /& I~j: <br /> <br />, <br /> <br />3~ .C3 'I <br /> <br />EmaiJ: <br /> <br />Public or Other <br /> <br />ef~llrl. L <br /> <br />Type of Property: <br /> <br />Residential <br /> <br />Commercial <br /> <br />PROPOSED RESTORATION I RENOVATIONS I REPAIRS I RELOCATION I ETC: <br /> <br />Exterior Walls <br />Exterior Doors <br />Windows <br />Porches <br />== Awnings or Canopies <br />_ Fencing <br />_ Exterior Painting & Color Changes <br />-X-. Roofing <br /> <br />Detailed description of proposed work: (attach other sheets if necessary) <br />c>v CJ. " ,.. c... 1.- <br /> <br />_ Slgnage <br />_ Lighting <br />_ New Main Building or Addition to Existing Building <br />_ New Accessory Bldg. (garage, carport, shed) <br />_ New deck, ramp, patio, etc. <br />_Building, Demolition or Relocation <br />_ General Repairs (describe below) <br />_ Other (describe below) <br /> <br />~-r fi Ne t,J) Roo r <br /> <br />The Historic Preservation Board requires that the following infonnation MUST be included with an application prior to the <br />application being accepted by staff: <br />· Detailed Plans, including a site olan and elevation(s): <br />· Color and material samoles: <br />· Manufactur.er's sales literature; <br />· Photoaraohs: and <br />~ ~ ~:~entation to show that the proposed work is consistent with the adopted Deparbnent <br /> <br /> <br />f~~~lF~~r - AP~~ ~~Sb.~ {/.~rc ~ <br /> <br />(Applicant do NOT write BELOW this line) <br /> <br />ACTION TAKEN: Date: <br />o By Staft: Approved _ Denied <br /> <br />Reason for Denial: <br /> <br />/ <br />l3'By HPB: Approved ~ Approved with modifications noted below. and/or on attached sheets <br />Denied -- -', ---, - <br /> <br />* HPB Condition(s) of Approval: <br /> <br />Signed: <br /> <br />xl-/ I ~ <br /> <br />, / <br /> <br />J/, . I <br />,/1 '-t, <br />I' /L - <br />L--/' <br /> <br />Date: <br /> <br />.. <br />_> l ~1 1 ' <br /> <br />i s( <br />I t./ <br /> <br />;2 c. r: l <br />